Pericardial Tamponade and Elevated Serum CA-125 Level in Inadequately Treated Hypothyroidism

Figure 3

Transthoracic echocardiogram on day 0. Very large pericardial effusion with a swinging heart (red arrows in (a) and (b)), RV diastolic collapse, and marked mitral inflow respiratory variation (red arrows in (c)) consistent with significant tamponade. (a) Apical 4-chamber view; (b) parasternal long-axis view; (c) apical 4-chamber view showing the position of the Doppler pulse wave vector to obtain the mitral inflow waveform; (d) mitral inflow waveform.